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NPI Code Detail

MEDICARE: JEANMARC V NGUYEN PHARM.D.

MEDICARE: JEANMARC V NGUYEN PHARM.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist44925TX

General Provider Information

NPI Number : 1003145434
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEANMARC V NGUYEN PHARM.D.
Provider Business Mailing Address
First Line : 2710 TAYLORCREST
Second Line :
City : MISSOURI CITY
State : TX
Zip : 77459-6929
Country : US
Telephone Number : 324-668-8158
Fax Number :
Provider Business Practice Location Address
First Line : 9460 W SAM HOUSTON PKWY S
Second Line :
City : HOUSTON
State : TX
Zip : 77099-1850
Country : US
Telephone Number : 281-568-3134
Fax Number : 281-568-6974
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/14/2009
Last Update Date : 11/09/2020

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